Total Results Blog

Diagnosis of chronic disease has skyrocketed over the last 40 years. According to the National Cancer Institute, this is defined as "a disease or condition that usually lasts for 3 months or longer and may get worse over time." We have seen many medical conditions among Total Results clients, but some of the most common chronic debilities that we have encountered are osteoarthritis, heart disease, and diabetes. These chronic conditions certainly bring with them their own set of challenges, such as obtaining medical clearance from a physician and helping the client to overcome their underlying fears related to exercising with these conditions, but we have been very successful at helping clients with chronic disease to improve their health and quality of life. As we will discuss further, there is both a genetic and lifestyle component that can increase your risk for developing a chronic disease.

Osteoarthritis is probably the most common chronic condition that Total Results clients encounter. This can be characterized by pain, stiffness, and swelling in the joints. Osteoarthritis is more common in people who have performed repetitive movements for long periods of time, or if they have suffered a previous injury to a joint (for example, if you have sustained knee cartilage or ligament damage you are more likely to experience osteoarthritis later in life). The older we get, the greater the likelihood that we will experience osteoarthritis in one or more of our joints. In your Total Results workouts, the first two repetitions of each exercise serve as a warm-up to lubricate your joints and reduce pain (it's also why we typically perform the Leg Curl exercise before the Leg Press, so that your knees are limbered up). It is our job as instructors to find the client's safe and pain-free range of motion, so that the musculature can be stimulated while minimizing joint pain.

Heart disease comes in many different forms; in fact, two of our current clients had significant heart procedures performed prior to starting at Total Results. Obviously, the heart is the most important muscle in the body; however, you cannot volitionally control the contraction of your cardiac muscle. Skeletal muscle is the only type of muscle tissue that you contract at will, and while most cardiologists require a patient to perform cardiac rehabilitation before giving them clearance to begin or resume exercise, I believe that strength training is the most effective form of cardiac rehabilitation. Helping doctors to understand the nature of our program has always been a big challenge, but it is important to build trust with the client and communicate effectively with their doctor. We will work with the cardiologist to formulate the best course of action and ease the client into the program.

Diabetes can take on two forms: Type I and Type II. Type I diabetes is typically diagnosed in childhood or young adulthood, and is characterized by the pancreas producing an insufficient amount of insulin. Type II diabetes occurs later in life, and usually involves the body being unable to produce enough insulin or an inability to use the insulin it produces. High blood sugar is a corresponding factor. Prediabetes is a precursor to Type II diabetes, and many clients have come to us after being diagnosed with the condition. The good news is that Type I diabetes can be managed (although not completely reversed), and Type II diabetes can be completely reversed with deliberate action and lifestyle changes. High intensity strength training is important from a standpoint of building muscle and changing your body composition, but also going to muscular failure will help to reduce glycogen (stored form of carbohydrate) stores in your liver and muscle cells. This will help you to improve your insulin sensitivity and level out your blood sugar.

We have also worked with clients that have autoimmune conditions. This is when the body's immune system mistakenly attacks its own healthy cells. A few conditions that we have encountered include Multiple Sclerosis, Rheumatoid Arthritis, and Celiac Disease. When clients suffering from these diseases are dealing with flare-ups, it can greatly impact their workouts. Sometimes they cannot workout at all during a flare-up, while other times their strength and endurance are significantly compromised. Communication between client and instructor is paramount, and we must treat each occurrence individually. There is no one-size-fits-all plan when this happens, but we adapt the best that we can.

There is plenty that we can recommend to help you if you are battling a chronic disease. You must realize that chronic disease doesn't happen overnight, and an immediate reversal is unrealistic. It is important to recognize that a change in your daily habits is essential. This involves not just incorporating high-intensity exercise into your life, but also improving your sleep habits, managing stress, and adding in low-level movement several times per week. What you put into your body makes all the difference in the world; avoid inflammatory foods such as seed oils, processed foods, and sugar. In order to preserve your physical independence and build strength, you must lift heavy things! Stay educated about your disease and other chronic diseases; we frequently give book recommendations that you will find helpful.

Together we can reverse your chronic disease! It all starts with a single step.

Life is more than just a series of consecutive days clocked in and clocked out. Without some larger purpose, life loses much of its meaning and direction. You can see it in some people that retire from the working world. They spend the majority of their lives in pursuit of something, and once they retire they have twenty-four hours to fill and no idea what to do with themselves. One must have a reason to get out of bed in the morning and contribute something in a meaningful way. I believe that there is a greater feeling of achievement and accomplishment when you are doing something or are a part of something that is bigger than just yourself. It is one of the reasons that I got involved in coaching football a few years ago - to educate and mentor young people, but also teach some of the life lessons that I learned during my playing career.

Simon Sinek is a bestselling author, business consultant, and motivational speaker who wrote the outstanding book, "Start With Why." He notes that many successful people and organizations can articulate what they do, and some can explain how they are better or different from their competitors, but few can clearly define why they do what they do. The author cites examples of companies that have clearly communicated their "why", such as Apple and Southwest Airlines. Even though Apple's products may not be significantly better than comparable devices, the company's purpose has been more clearly defined than that of its competitors and has resonated with Apple's customers. It is one reason that people stand in line for hours waiting to get the new version of an iPhone when it is released, even though they could buy it a couple of days later without the hassle. Southwest Airlines's low-cost model was not original; it was copied from a company called Pacific Southwest Airlines. However, Southwest Airlines did a much better job of commuting its "why" (cheap, fun, and simple air travel) to their customers. From the time that Herb Kelleher started the company until the writing of Sinek's book (2011), Southwest Airlines did not have a single year in which they didn't turn a profit (including the oil crises of the 1970s and early 2000s, and after September 11th).

It all starts with "why." What is your greater purpose? As Sinek says, "WHY: Very few people or companies can clearly articulate WHY they do WHAT they do. When I say WHY, I don't mean to make money - that's a result. By WHY I mean what is your purpose, cause or belief? WHY does your company exist? WHY do you get out of bed every morning? And WHY should anyone care?" Why do you hit the ground running first thing in the morning? What are you enthusiastic about? Total Results was created by Tim Rankin in late 2001. He was an engineer who had worked in the corporate world for over a decade, and the former college lacrosse player had fallen out of shape. Tim was able to regain his vitality and get into the best shape of his life by using what would become the Total Results exercise protocol. He believed in it so much that he quit his corporate job and started Total Results in his garage. Tim's personal "why" for starting the business was to help people experience the same benefits that he was able to attain and to assist them in creating positive lifestyle change. Tim did this for 20 years, and over that time he mentored several other exercise instructors, including me.

Since Tim and his wife Pam passed the torch to us in 2021, I have done my best to carry on what he started so many years ago. What is my personal "why"? I love instructing exercise and educating clients. I want to help them to achieve what they cannot do on their own, and I want to assist them in maintaining their physical independence by staying out of the medical system. I also love challenging conventional "wisdom" and being outside of the exercise establishment. The Total Results mission is to provide the greatest and most comprehensive exercise experience possible. One thing that I am most proud of is the fact that we have held true to our founding principles, even when other similar studios have compromised their approach. One must evolve and adapt with changing times, but if you don't stand for something you will fall for anything.

What is your "why"? What is it that you most want to achieve by exercising at Total Results? Getting to know a prospective client during an initial consultation helps me to gain an understanding of their goals, how they define success, and determining their "why". If you are an experienced Total Results client, you will eventually experience some tough times. Remember your "why", and the reason that you came to us in the first place. Together, we can get on the right path. It all starts with "why".

A significant number of Total Results clients deal with joint difficulties. This becomes more common as we age, especially if we have been active in participating in sports or other activities with repetitive motions. We see a lot of lower back discomfort (some muscle weakness, and some structural abnormalities), knee pain, elbow problems, as well as neck weakness that can cause headaches. Many, if not most of these obstacles can be overcome with regular Total Results workouts and some simple lifestyle modifications. One of the biggest and most rewarding challenges that I face as an instructor is how to work around shoulder maladies. Since part of the Total Results mission is to help people to improve and maintain their functional independence and live their best life, keeping the shoulder joints healthy is an absolute must. Over the years we have developed a comprehensive toolbox for improving the function of the shoulder joints and minimizing discomfort.

In order to gain a better understanding of the shoulder joint, we should discuss its anatomy. The shoulder is a ball and socket joint (the ball is the greater tubercle of the humerus, and the socket is the glenoid fossa of the scapula), and the bones involved include the humerus (upper arm), scapula (shoulder blade), clavicle (collar bone), and acromion (the small part of the scapula that connects with the clavicle). The major muscles that produce movement about the shoulder are the deltoid (upper arm), trapezius (a kite-shaped structure that spans from the rear part of the neck, across the top of the shoulders and down between the shoulder blades), latissimus (major upper back muscle), pectoralis major (chest), and the rotator cuff. The rotator cuff is made up of four small muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) that help to stabilize the shoulder joint, but also work to perform abduction and external rotation of the humerus. The shoulder is a very mobile joint; as you have probably noticed, you can move your upper arm in a number of different ways. Unfortunately, because of this mobility it is an inherently unstable joint, which is why it can easily be injured. Common maladies include rotator cuff impingement or tear, biceps tendinitis, frozen shoulder, torn labrum (cartilage deep within the shoulder joint), instability from a previous injury, or simple muscular strain.

As I mentioned earlier, through trial and error over the past two decades we have created successful strategies for improving shoulder function and reducing pain. Bear in mind that I did not invent any of these modalities; I am simply fortunate enough to learn from some very smart people. Timed Static Contraction (TSC) can be a useful tool to allow clients to perform certain exercises (such as the Chest Press and Overhead Press) in a portion of the range of motion where they do not feel any joint pain. Regular readers of this blog are very familiar with TSC, so I won't get into too much detail. We can also substitute the MedX Overhead Press for the Super Slow Systems version; the two machines have movement arms that track differently. The MedX version moves in a slightly upward arc, which often feels more comfortable for people with shoulder maladies, and it is why we have both options at our disposal. In some cases we may need to entirely avoid performing any vertical pushing and pulling movements, as clients with shoulder difficulties can better tolerate horizontal exercises.

The External Rotation exercise can be performed in order to strengthen the rotator cuff. This can be done as a preventative measure or as a means of rehabilitating an injury and avoiding surgery. External Rotation can be applied as a TSC by the client, and resistance is provided with the opposite hand for 90 seconds. As a former quarterback with lots of wear and tear on my shoulder, I find this exercise to be extremely valuable. We can also do what is called "gapping the weight stack" when performing the Chest Press exercise. In this scenario we move the movement arm one or two pin holes forward so it does not come to such a deep position when the weight stack bottoms out. This can help reduce strain on the shoulder joint. Dr. Doug McGuff, owner of Ultimate Exercise, has a very helpful video on his website (drmcguff.com) that illustrates how this is accomplished. Finally, I have some clients perform a shoulder hang exercise that I learned from Ken Hutchins and has been recommended by retired orthopedist Dr. John M. Kirsch. This involves the use of the Nautilus Multi-Exercise machine; the client will hang from the top bar with their palms facing forward. First they will hang with their feet supported by the bottom step of the machine, and then they will gradually work toward hanging with their feet suspended in air. This exercise will usually last between 30-60 seconds and has been wonderful in improving frozen shoulders.

In a perfect world, clients would perform the full complement of exercises on all of the machines at Total Results in a dynamic fashion. We like to have a balance between upper body and lower body pushing and pulling exercises so that the body can develop symmetrically and without any muscular imbalances. However, life is rarely perfect and sometimes it is important to sacrifice symmetry in order to avoid further joint irritation. Ours is not a one-size-fits-all program, and these adjustments may be for either the short or long term. Whatever your situation, we can find the proper solution through patience, active listening, creative thinking, and trial and error.

There is a ton of information out there. One of the benefits of the digital age in which we live is that it is relatively easy to do a Google search to find just about any information that we want. This is a far cry from when I was growing up, and I would have to either consult an encyclopedia or do extensive research at a library to find the answers to questions that I had. Yes, I realize that I am dating myself. The downside to having a plethora of information at our fingertips is that it can be difficult to sort through what is truth and what is fiction. If you read enough about nutrition, health, and exercise you are bound to come across conflicting information. I believe it is important to question everything you read and do your own research, so that you can formulate an educated opinion and have a clear strategy going forward.

Multiple nutritional philosophies are touted as "the answer." Nutrition is a hot-button topic on podcasts, in YouTube videos, and in print. One place I would suggest not taking nutritional advice from is the medical establishment. Most American medical schools devote very little time toward discussing nutrition, and even then the prevailing thought is that "a calorie is a calorie." Even highly esteemed endocrinologist Dr. Robert Lustig said that there was no nutritional curriculum when he attended Cornell University Medical College. As I said earlier, there are a multitude of nutritional philosophies: the Mediterranean Diet, Paleo, Vegan, and the Ketogenic Diet are just a few of them. All of them have some merit and can work, provided you eat real food and minimize your consumption of sugar and processed food. My own personal opinion is that while humans, biologically speaking, are omnivores and should consume some meat, every individual has different likes and dislikes. The bottom line is that there is no one specific diet that everyone should follow. You have to experiment and find what works best for you within those parameters.

Are fitness trackers useful or not? It all depends on what you want to do and what type of person you are. Are you someone who is very numbers-oriented? Do you enjoy tracking how many calories you have burned through activity, your sleep patterns, heart rate, and many other things? The analytics movement isn't just a trend in team sports; fitness trackers have exploded in popularity over the last fifteen years, and it wouldn't be happening if people weren't interested in what they can do. There is no question that these devices can give you useful information, but it is very easy to get bogged down in minutiae and miss the big picture. If you are taking care of yourself properly by drinking plenty of water, eating a clean diet, strength training once or twice per week, managing stress, sleeping seven to nine hours per night, and drinking alcohol in moderation (and these are things that you don't need a fitness tracker to judge), then you will optimize your health regardless of what a fitness tracker tells you. I don't need a device that's located on my wrist to tell me when I stayed up too late or made poor dietary choices over the weekend. My body will be the first to let me know. You will hear evidence on both sides of the fitness tracker question. I recommend you do some research, experiment, and see what fits your lifestyle.

Vaccines are obviously a controversial issue, given the events of the last five years. I'm not just talking about the Covid shots, but also the growing number of immunizations that have been advertised and required now by the public school system. Public opinion is very divided on this, but the majority of the establishment media are in favor of them. In my estimation, this comes down to a personal decision, but my suggestion is to not take what the pharmaceutical companies say at face value (especially since they are the ones usually sponsoring the commercials). With the release of "The Pfizer Papers" last year, I believe that we can confidently conclude that the Covid shots provide minimal benefit and have killed and seriously injured thousands of people (maybe even more than have been reported). Ultimately you must educate yourself and decide what is right for you and your family; don't allow someone to make that choice for you.

I have been a practitioner of the Total Results exercise philosophy for over two decades, and I wholeheartedly believe in our methodology. However, there are many exercise regimens out there, and numerous people have achieved positive results by doing something different than what we espouse. I am convinced that Total Results is the safest, most efficient, and most comprehensive exercise protocol available, but there are other forms of high-intensity weight training. Some instructors spend their free time arguing on HIT message boards about why their philosophy is the best. I see that as a waste of time and effort; I would rather help our clients achieve great things. There is a mountain of evidence, even from the exercise physiology establishment (which was reluctant to embrace weight training), that confirms regular strength training is a must if you want to maintain muscle and bone health and remain physically independent. Give Total Results a try and see if we are a good fit, then go from there.

The Internet has made the world a much smaller place, but you still have to do your homework. Whether you were a fan of former president Ronald Reagan or not, he had some sound advice: "Trust, but verify." Beware of sources of advice and information; there could be a hidden agenda, but if there is a lot of vague language or misspelled words I would discredit the source. Every individual is different, and life is not a one-size-fits-all endeavor. My hope is that if you take anything away from this article, it is an impetus to educate yourself and act as your own advocate for everything that you do. You have the power!

Novice Total Results clients are often very keen to heed their instructor's cues down to the smallest detail. People who genuinely want to succeed, especially when they are trying to learn things that are unfamiliar, tend to focus intently and work to execute as they have been instructed to do. Mistakes will naturally occur, and we must learn from every failure if we eventually want to achieve mastery. However, human nature is that as we become more proficient we subtly let off the gas pedal and ease up on our attention to detail. In the martial arts there is something that is referred to as "the white belt mindset," in which one displays "a mindset of humility, eagerness to learn, and persistent effort characteristic of a beginner." No matter what you have accomplished or how long you have been a Total Results trainee, it is important to not develop a false sense of security.

I have been incredibly fortunate to be able to assist hundreds of clients over the years in their pursuit of increased strength, robust health, and an improved quality of life. Some clients have made improvements that I didn't even believe was possible, but that is a testament to their drive, desire, and attention to detail. Some clients have made excellent initial gains, but were unable to sustain those improvements over the long term. As Nick Saban says, "It's not human nature to be great. It's human nature to survive, to be average and do what you have to do to get by. That is normal." Some clients eventually fall off track with their nutritional habits and choices, but think that if they just continue to work hard in their Total Results workouts and add in some additional activity elsewhere that this will make up for it. Dr. Robert Lustig told us in the book "Metabolical" that, "You can't outrun a bad diet." Don't fall into this trap! Remember that exercise is an important but small component of the overall health equation.

One can develop a false sense of security when it comes to safety. During a Total Results initial consultation we go to great lengths to explain how client safety is our number one priority, and we discuss the reasons why we use such a slow speed of movement in each exercise. Remember from physics that force equals mass times acceleration, and that excessive force is the root cause of any injury. If clients follow our instructions they are at virtually no risk for injury; as Ken Hutchins is fond of saying, our exercise protocol is safer than stepping off of a curb. However, committing form discrepancies not only diminishes muscular loading, it also significantly increases your risk for injury. One client many years ago injured his back at the end of the Leg Press exercise by lifting his butt out of the seat and firing out in an attempt to start one more repetition. I had another client recently injure her quadriceps muscle because she fired out of the stretch position to start the exercise. Don't let this happen to you! Bear in mind that committing form discrepancies is rarely a conscious effort on the part of the client to do the wrong thing; they are typically misguided attempts to make things just a little easier. On the other hand, jabbing at the weight, off/oning, and increasing your speed put you at greater risk for injury. Once we achieve a certain level of strength and conditioning, the idea of injury often fades into the background. It is important to see the bigger picture. Taking liberties with your form to achieve one more repetition in the short term can lead to trouble down the road, even if the immediate result isn't injury. If your form suffers now, it is harder to get back on track.

Whether I am instructing exercise or coaching high school football, I believe it always comes back to the fundamentals. I have learned over the years that it is okay to reduce a client's weight on one or several exercises in order to recapture proper form and protect against injury. This is where attention to detail becomes critically important, and we should understand that mastery is a lengthy process. Past success does not guarantee future prosperity; don't stray from the habits that have helped you to achieve great things. It's okay to be bored once in a while.

Everyone has their "why" for participating in high intensity exercise. Identifying your "why" will help you push through when things get tough or when you don't feel like working out. It is harder to stay at the top than it is to get to the top, and it's important to not rest on your laurels once you have achieved a certain level of fitness. There are always other mountains to climb. Approach Total Results exercise with the mindset that this is a lifelong endeavor, and recognize that mystery is a continuous process. Never take anything for granted!